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5 Cost Effective Programs for any Business. Presented by: Shanna S. Dunbar RN, COHN-S, CCM. Objectives. Name the 5 cost effective programs Identify 2 strategies that would benefit your workplace Describe the business case for implementation of one of these programs (return on investment).

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5 cost effective programs for any business

5 Cost Effective Programs for any Business

Presented by:

Shanna S. Dunbar RN, COHN-S, CCM

objectives
Objectives
  • Name the 5 cost effective programs
  • Identify 2 strategies that would benefit your workplace
  • Describe the business case for implementation of one of these programs (return on investment)
why talk about these programs
Why Talk about These Programs?
  • Best BANG for your BUCK
  • INTEGRATE
    • SAFETY
    • OCCUATIONAL HEALTH
    • WORKERS’ COMPENSATION
alphabet soup
Alphabet Soup

RTW

FMLA

TWP

EAP

PPHS

ADA

DFWP

IIPP

MRO

what are the 5 programs
What are the 5 programs?
  • Pre-placement Health Screening
  • Injury and Illness Prevention Program
  • Drug Free Workplace Program
  • Employee Assistance Program
  • Transitional Work /Return to Work Program
slide6
# 1

Pre-Placement

Health Screening

1 pre placement health screening
1) Pre-Placement Health Screening
  • “Pre-Placement” defined (“PPHS”)
  • POST-offer; PRE-placement –
  • BEFORE the employee begins working
pre placement health screening
Parameters should be in writing –Have a PPHS policy.

Apply policy Uniformly and Equitably

“Uniform application is based on ‘similar circumstances’ ”.

Utilize an appropriate examiner/testing facility (Occupational Health specialty)

”Legal Parameters with Pre-Employment Physical and Job Placement Assessments” by Glenn Jones Ohio Safety Congress; March 20-22, 2007; Jones, Funk & Assoc.

Pre-Placement Health Screening
pre placement health screening9
Pre-Placement Health Screening
  • Utilize Functional Job Descriptions/

Job Analyses

    • Identify essential functions of the job
    • Base your exams on the essential functions
pre placement health screening10
During the interviewing process pay attention to applicable laws: Americans with Disabilities Act (ADA), Ohio Civil Rights Act (OCRA)

“It is permitted to ask general questions with regard to the applicant’s ability to perform functions of the proposed employment”

”Legal Parameters with Pre-Employment Physical and Job Placement Assessments” by Glenn Jones Ohio Safety Congress; March 20-22, 2007; Jones, Funk & Assoc.

Pre-Placement Health Screening
pre placement health screening11
Utilize Functional Job Descriptions/

Job Analyses

Ask the applicant – “Here are the essential functions of the job, can you perform them?”

Customize the kind of exam to the job

Pre-Placement Health Screening
pre placement health screening12
“Withdrawal of the job offer…may only be made when those results impact on the specific job.”

If you are performing physicals are you getting the results you desire??

”Legal Parameters with Pre-Employment Physical and Job Placement Assessments” by Glenn Jones Ohio Safety Congress; March 20-22, 2007; Jones, Funk & Assoc.

Pre-Placement Health Screening
pre placement health screening13
Health Screening:

Medical History (90%)

Physical Exam (10%)

Goal is NOT to eliminate candidates but to SAFELY place candidates.

(Avoid hazards to the employee or to other employees)

Pre-Placement Health Screening
1 pre placement health screening14
1) Pre-Placement Health Screening

Why is it cost effective?

  • Identify pre-existing conditions impact on work environment (WC)
  • Less risk when work related injury occurs
  • Safer worker ~ work environment interface
slide15
# 2

Injury and Illness

Prevention Program

2 injury illness prevention program iipp
2) Injury & Illness Prevention Program(IIPP)
  • Another name: HEALTH and SAFETY Program!!
  • Specific to work you do
injury illness prevention program
Injury & Illness Prevention Program
  • Management commitment with assignment of responsibilities
  • Labor/Management safety and health committees
  • Safe work practices with system for assuring employee compliance
  • Scheduled inspections/evaluation system
  • Accident investigation process with procedures for correcting unsafe/unhealthy conditions
  • Safety and health training and instruction
  • Recordkeeping and documentation
injury illness prevention program18
Accident/Incident Investigation & Reporting Procedure

Asbestos Standard

Benzene

Cadmium

Compressed Air Plan

Demolition Plan & Explosive Blasting Plan

Disciplinary Program

Diving Operations

Electrical Safety and Ground FaultProtection

Excavation, Trenching & Shoring Procedures

First Aid and CPR

Hazardous Waste Operations and Emergency Response (HAZWOPER)

Hydrogen Sulfide Injury & Illness Prevention Program

Laser Safety

Lead Protection

Lock out Tag out Process

Safety Management

Radiation

RF Energy and Microwave Radiation Safety

Sandblasting Program and Silicosis Prevention

School Emergency Action Plan

Underground Construction

Injury & Illness Prevention Program
injury illness prevention program19
Lifting Safety

Electrical Safety

Forklift and Motorized Truck

Landscape and Grounds Maintenance 

Respiratory Protection Program

Bloodborne Pathogens

Ergonomics

General Shop/Work Area and Tool Safety

Machinery & Machine Guarding Safety

Roof Labor Safety

Carpentry and Lumber Handling

Excavation and Trenching

Hearing Conservation Program

Motor Vehicle Safety

Safety & Health Signs and Tags

Chemical Safety

Fall Protection

Heating Systems and Boiler

Office Safety

Scaffold Safety

Concrete and Masonry Construction

Fire Prevention

Housekeeping and Material Storage

Injury & Illness Prevention Program
injury illness prevention program20
Injury & Illness Prevention Program
  • BWC’s 10-step business plan
  • Visible, active senior management leadership
  • Employee involvement and recognition
  • Medical treatment and return-to-work practices
  • Communications
  • Timely notification of claims
  • Safety and health process coordination
  • Written orientation and training plan
  • Written and communicated safe work practices
  • Written safety and health statement or philosophy
  • Record keeping and data analysis

* Premium Discount for implementation of 10-Step Business plan for Penalty Rated companies only

www.ohiobwc.com

2 injury illness prevention program
2) Injury & Illness Prevention Program

Why cost effective?

  • Prevention is the best risk management tool
  • OSHA mandates we provide a safe and healthful workplace for all employees: Safety Risk to themselves OR others

** BWC offers a Premium Discount for implementation of their 10-Step Business plan for Penalty Rated companies***

www.ohiobwc.com

slide22
# 3

Drug Free

Workplace Program

3 drug free workplace program
3) Drug Free Workplace Program

Federal Oversight for any Drug Free Workplace Program is through the Department of Health and Human Services

www.dhhs.gov

drug free workplace program
Drug Free Workplace Program

WHY have a DFWP???

  • Substance abuse is widespread in society
  • No workplace is immune
  • Job applicants who can’t pass a drug test apply to companies that don’t test
  • Provides an affirmative defense against a workers’ compensation claim
drug free workplace program25
Drug Free Workplace Program

Categories of Drug Use:

  • User
  • Abuser
  • Addict
  • Impacts on family life, work life and financially
drug use becomes abuse
Drug Use becomes Abuse

WORK

FAMILY

HIGH

Function

LOW

FINANCIAL

Drug Use (Time)

slide27
Workplace Substance Abuse

Increased accidents

Frequent turnover

Lower productivity

Inflated health care costs

Increased theft

Costs and Consequences

Increased Workers’ Comp claims

Poor product quality

Higher absenteeism

Property damage

components of dfwp
Components of DFWP
  • Drug Free Workplace Policy*
  • Employee Education*
  • Supervisor Training*
  • Drug and Alcohol Testing (COC with MRO)
  • Employee Assistance

** BWC offers grants for development and training as well as a Premium Discount for implementation***

drug free workplace program29
Drug Free Workplace Program

Why Cost-Effective?

  • Employers with successful DFWP report
    • Decreases in absenteeism, and accidents
    • Decreases in downtime, turnover, and theft;
    • Increases in productivity, and overall improved morale
slide31
# 4

Employee

Assistance Program

4 employee assistance program
EAP is a comprehensive program that helps employees resolve personal problems that may adversely impact their work performance, conduct, health and well-being. 4) Employee Assistance Program
employee assistance program
Employee Assistance Program
  • Prevention and Early Intervention
  • Management of Behavioral Disorders
  • Reduce the Health Care Costs overall for a company
  • Maximize human resources: outcome of Productive and Healthy Employees
employee assistance program34
Employee Assistance Program

The Business case for EAP

FOH study evaluated 16K clients after using EAP

33% to 71% improvement in……

  • Overall Health
  • Work attendance
  • Productivity
  • Day-to-day functioning and
  • Social activities

Follow-up study with 60K subjects validated this study(Selvik, Stephenson, Plaza & Sugden, 2003)

Federal Occupational Health (DHHS) www.foh.dhhs.gov

employee assistance program35
Employee Assistance Program

The Business case for EAP

For every $1 invested in EAP the expected savings for the first year would be $1.27 rising to $7.21 by Year 5 (Wrich, 1998)

employee assistance program36
Employee Assistance Program

The Business case for EAP

  • Chevron Corporation realized a savings for $14 for every $1 spent on EAP (Collins 1998)
  • McDonnell Douglas saved $5.1 Million by instituting an EAP according to a four-year study (ROI 4:1) due to reduced absenteeism, turnover and medical claims
4 employee assistance program37
Cost Effective for small business?

Less research on this….

Positive results using EAP and Case Management combined

(manage work related and non-occupational conditions)

4) Employee Assistance Program
slide38
# 5

Return to

Work Program

5 return to work program
5) Return to Work Program
  • Process for identifying returning to work SAFELY
    • Accommodating modifications in work
    • Re-evaluation of job performance abilities
    • Procedures should be based on:
      • ESSENTIAL FUNCTIONS OF THE JOB
      • Functional Job Descriptions/Analyses
  • Can be used for both WORK related and Non-Occupational Conditions
return to work program
Return to Work Program
  • Transitional Work Programs (TWP)
    • Work Related Injuries
    • Non-Occupational Injuries and Illnesses
    • Reasonable Accommodation (ADA)
  • Case Management for RTW
    • FMLA or Workers’ Compensation Issues
    • Oversee medical side of the claim
return to work program work related
Return to Work ProgramWork related:

Medical Claims

Average cost =

Indemnity (LT) Claims

Average cost =

$750

$37,500

slide43
Workers’ Compensation Benefits
  • Medical Costs
  • Temporary Disability Costs

What happens when TD is paid????

A Reserve is Set

for the LIFE of the claim!

≈ $1,000 per DAY off

return to work program44
Return to Work Program
  • Written policy and procedures
  • JOB Specific
  • Educate from the beginning: RTW is part of healing process
  • Utilize an appropriate OH facility for injury care and RTW exams
5 return to work program45
5) Return to Work Program

Business Case for RTW programs:

  • Reduce Lost Time Claims/ WC Costs
  • Employee Retention
    • Return to Routine = healing
    • Keep moving – Less de-conditioning
    • Reduce Litigation (less dispute)
alphabet soup46
Alphabet Soup

RTW

FMLA

TWP

EAP

PPHS

ADA

DFWP

IIPP

MRO

objectives47
Objectives
  • Name the 5 cost effective programs
  • Identify 2 strategies that would benefit your workplace
  • Describe the business case for implementation of one of these programs (return on investment)
wrap up
WRAP UP

Shanna Dunbar, RN, COHN-S, CCM

Workplace Health, Inc.

(440) 463-6921

(866) 325-3085

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